Provider Demographics
NPI:1578232625
Name:MOMENTUM MINISTRIES, INC.
Entity Type:Organization
Organization Name:MOMENTUM MINISTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-200-9343
Mailing Address - Street 1:5 N LAFAYETTE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-5687
Mailing Address - Country:US
Mailing Address - Phone:704-200-9343
Mailing Address - Fax:
Practice Address - Street 1:5 N LAFAYETTE ST STE 1
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-5687
Practice Address - Country:US
Practice Address - Phone:704-200-9343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-12
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health